Why Is Theophylline So Hard to Find? [Explained for 2026]

Updated:

February 27, 2026

Author:

Peter Daggett

Summarize this blog with AI:

Struggling to find Theophylline at your pharmacy? Learn why this asthma and COPD medication is hard to find in 2026 and what you can do about it.

Why Is Theophylline So Hard to Find Right Now?

If you've been told your pharmacy is out of Theophylline, you're not alone. Patients across the country have been struggling to fill their Theophylline prescriptions since shortages began in 2022 — and the problem hasn't fully resolved heading into 2026.

Theophylline is a medication that millions of people depend on to breathe easier. When you can't find it, the situation feels urgent — because it is. Let's break down what's going on, why it's happening, and what you can do right now.

What Is Theophylline?

Theophylline is a methylxanthine bronchodilator — a type of medication that relaxes the muscles around your airways and helps reduce inflammation in your lungs. It's been used for decades to treat asthma and chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema.

You might know it by former brand names like Theo-24, Elixophyllin, Theochron, or Uniphyl. Today, most people take the generic extended-release tablet form. It's typically taken once or twice a day, and your doctor monitors your blood levels regularly because Theophylline has a narrow therapeutic window — meaning the difference between a helpful dose and a dangerous one is small.

To learn more about how this medication works in your body, check out our guide on how Theophylline works.

Why Is Theophylline Hard to Find? (3 Key Reasons)

1. Fewer Manufacturers Are Making It

Theophylline is an older, inexpensive generic medication. Because profit margins are thin, several manufacturers have stopped producing it or scaled back production over the past few years. When only a handful of companies make a drug, any disruption at one factory can ripple across the entire supply.

2. Raw Material Supply Issues

The active pharmaceutical ingredient (API) for Theophylline is sourced from a limited number of suppliers globally. Supply chain disruptions — including shipping delays and quality control issues at API facilities — have contributed to production slowdowns since 2022.

3. Intermittent FDA-Listed Shortages

The FDA has listed Theophylline extended-release tablets on its Drug Shortage database multiple times since 2022. Certain strengths (like 300 mg and 400 mg) and the oral solution formulation have been especially affected. When a shortage is active, pharmacies can't order enough stock to fill every prescription.

4. Increased Demand in Some Regions

While newer inhaled medications have largely replaced Theophylline for many patients, it remains essential for people who don't respond well to inhalers or who need it as an add-on therapy. Regional demand spikes — especially during respiratory illness seasons — can make the supply gap worse.

What You Can Do if You Can't Find Theophylline

Don't panic, but don't wait until your last pill either. Here are steps you can take:

  • Use Medfinder: Medfinder.com helps you search for pharmacies that have Theophylline in stock near you — in real time. It's the fastest way to check availability without calling dozens of pharmacies.
  • Call independent pharmacies: Chain pharmacies all order from the same distributors. Independent pharmacies sometimes have access to different suppliers and may have stock when the big chains don't.
  • Ask your doctor about alternatives: If Theophylline is truly unavailable, your doctor may be able to switch you to another medication temporarily. See our full guide on alternatives to Theophylline.
  • Request a different strength or formulation: Sometimes one strength is out of stock while another is available. Your pharmacist and doctor can work together to adjust your dose using a different tablet strength.
  • Plan ahead: Try to refill your prescription 7-10 days before you run out. This gives you time to search if your usual pharmacy is out of stock.

For more detailed tips, read our article on how to find Theophylline in stock near you.

Final Thoughts

Theophylline shortages are frustrating, especially when you depend on this medication to manage a chronic condition like asthma or COPD. The good news is that the drug hasn't been discontinued — manufacturers are still producing it, and supply is expected to stabilize as production ramps back up.

In the meantime, tools like Medfinder can save you time and stress by showing you which pharmacies near you actually have Theophylline on the shelf. Stay proactive, communicate with your healthcare team, and don't skip doses without medical guidance.

Is Theophylline discontinued?

No, Theophylline is not discontinued. It is still manufactured by several generic drug companies. However, intermittent shortages since 2022 have made certain strengths and formulations temporarily hard to find at pharmacies.

Why is my pharmacy always out of Theophylline?

Pharmacies order from wholesale distributors, and when manufacturers can't keep up with demand, distributors run low. Chain pharmacies are often hit hardest because they rely on a single distributor. Try checking independent pharmacies or using Medfinder.com to find stock nearby.

Can I switch from Theophylline to an inhaler?

Possibly, but only with your doctor's guidance. Some patients do well switching to inhaled bronchodilators like Tiotropium (Spiriva) or combination inhalers. However, Theophylline works differently than inhalers, so a switch depends on your individual condition.

How long will the Theophylline shortage last?

There's no official end date for Theophylline supply disruptions. The FDA monitors shortages and works with manufacturers to resolve them. Supply has improved in some areas but remains inconsistent for certain strengths. Check the FDA Drug Shortage database or Medfinder.com for the latest availability.

Why waste time calling, coordinating, and hunting?

You focus on staying healthy. We'll handle the rest.

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